| NPI | 1518321538 |
|---|---|
| Doing Business As | THE CANCER CENTER AT PROVIDENCE PARK PET CT |
| Entity Type | Organization |
| Authorized Contact | TODD KENNEDY President 251-633-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |